Organization
CHIPPEWA MANOR NURSING AND REHABILITATION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON THORSNESS (PRESIDENT)
(715) 723-4437
Entity
Organization
Contact information
Practice address
222 CHAPMAN RD, CHIPPEWA FALLS, WI 54729-3253
(715) 723-4437
(715) 723-0524
Mailing address
222 CHAPMAN RD, CHIPPEWA FALLS, WI 54729-3253
(715) 723-4437
(715) 723-0524
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2627
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20105700
—
WI
Enumeration date
06/23/2005
Last updated
02/12/2018
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